Successful treatment of a heterotopic pregnancy by sonographically guided instillation of hyperosmolar glucose.
OBJECTIVE
To describe a new conservative approach in the treatment of heterotopic pregnancy.


METHODS
Case report.


METHODS
A university hospital and an outpatient IVF center.


METHODS
Transvaginal ultrasonography-guided puncture of the ectopic gestational sac and instillation of hyperosmolar glucose.


RESULTS
The ectopic pregnancy resolved without further intervention. The intrauterine pregnancy resulted in a full-term live birth.


CONCLUSIONS
Transvaginal injection of hyperosmolar glucose may be an effective conservative treatment for unruptured ectopic pregnancies in cases of heterotopic pregnancy.
Strohmer
H
H
Department of Obstetrics and Gynecology, University of Vienna Medical School and Institute of Sterility Treatment, Austria. Heinz.Strohmer@akh-wien.ac.at
Obruca
A
A
Lehner
R
R
Egarter
C
C
Husslein
P
P
Feichtinger
W
W
D000328:Adult; D005260:Female; D005947:Glucose / Q000008:administration & dosage / Q000627:therapeutic use*; D006801:Humans; D009994:Osmolar Concentration; D011247:Pregnancy; D011256:Pregnancy Outcome; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging* / Q000628:therapy*; D011272:Pregnancy, Multiple; D011677:Punctures; D013396:Suction; D014463:Ultrasonography
D005947:Glucose